Role of transcranial color-coded Doppler in monitoring vasospasm and treatment outcome in a patient with treated ruptured aneurysm: a case report
Background Managing subarachnoid hemorrhage (SAH) due to ruptured cerebral aneurysms requires vigilant monitoring of vasospasm and careful assessment of treatment efficacy. Digital subtraction angiography is the gold standard for evaluating vasospasm and therapeutic outcomes; however, transcranial c...
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The Korean Neurocritical Care Society
2025-06-01
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| Series: | Journal of Neurocritical Care |
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| Online Access: | http://www.e-jnc.org/upload/pdf/jnc-240045.pdf |
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| author | Maria Elena Fraccalanza Vincenzo Inchingolo Andreaserena Recchia Giovanni Ciccarese Giuseppe d’Orsi Maura Pugliatti |
| author_facet | Maria Elena Fraccalanza Vincenzo Inchingolo Andreaserena Recchia Giovanni Ciccarese Giuseppe d’Orsi Maura Pugliatti |
| author_sort | Maria Elena Fraccalanza |
| collection | DOAJ |
| description | Background Managing subarachnoid hemorrhage (SAH) due to ruptured cerebral aneurysms requires vigilant monitoring of vasospasm and careful assessment of treatment efficacy. Digital subtraction angiography is the gold standard for evaluating vasospasm and therapeutic outcomes; however, transcranial color-coded Doppler (TCCD) has emerged as a valuable noninvasive alternative for ongoing monitoring. Case Report We report the case of a middle-aged man with a ruptured right middle cerebral artery aneurysm who was treated with acute coil embolization and subsequently monitored using TCCD. TCCD effectively identified focal vasospasm progression, guiding timely pharmacological intervention. Moreover, its morphological insights were instrumental in assessing the success of endovascular treatment. Conclusion This case highlights the practicality and diagnostic value of TCCD in the comprehensive management of SAH, demonstrating its utility as a noninvasive tool for monitoring vasospasm and evaluating endovascular treatment outcomes. |
| format | Article |
| id | doaj-art-eee392c042a3402689bc23a67fd7305f |
| institution | OA Journals |
| issn | 2005-0348 2508-1349 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | The Korean Neurocritical Care Society |
| record_format | Article |
| series | Journal of Neurocritical Care |
| spelling | doaj-art-eee392c042a3402689bc23a67fd7305f2025-08-20T02:37:25ZengThe Korean Neurocritical Care SocietyJournal of Neurocritical Care2005-03482508-13492025-06-01181293410.18700/jnc.240045427Role of transcranial color-coded Doppler in monitoring vasospasm and treatment outcome in a patient with treated ruptured aneurysm: a case reportMaria Elena Fraccalanza0Vincenzo Inchingolo1Andreaserena Recchia2Giovanni Ciccarese3Giuseppe d’Orsi4Maura Pugliatti5 Clinical Neurology Unit, Department of Neurosciences and Rehabilitation, University of Ferrara, Ferrara, Italy Neurology Unit, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy Anesthesia and Intensive Care Unit 2, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy Interventional Radiology and Neuroradiology Unit, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy Neurology Unit, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy Clinical Neurology Unit, Department of Neurosciences and Rehabilitation, University of Ferrara, Ferrara, ItalyBackground Managing subarachnoid hemorrhage (SAH) due to ruptured cerebral aneurysms requires vigilant monitoring of vasospasm and careful assessment of treatment efficacy. Digital subtraction angiography is the gold standard for evaluating vasospasm and therapeutic outcomes; however, transcranial color-coded Doppler (TCCD) has emerged as a valuable noninvasive alternative for ongoing monitoring. Case Report We report the case of a middle-aged man with a ruptured right middle cerebral artery aneurysm who was treated with acute coil embolization and subsequently monitored using TCCD. TCCD effectively identified focal vasospasm progression, guiding timely pharmacological intervention. Moreover, its morphological insights were instrumental in assessing the success of endovascular treatment. Conclusion This case highlights the practicality and diagnostic value of TCCD in the comprehensive management of SAH, demonstrating its utility as a noninvasive tool for monitoring vasospasm and evaluating endovascular treatment outcomes.http://www.e-jnc.org/upload/pdf/jnc-240045.pdfsubarachnoid hemorrhageintracranial aneurysmvasospasmendovascular procedurestranscranial doppler ultrasonography |
| spellingShingle | Maria Elena Fraccalanza Vincenzo Inchingolo Andreaserena Recchia Giovanni Ciccarese Giuseppe d’Orsi Maura Pugliatti Role of transcranial color-coded Doppler in monitoring vasospasm and treatment outcome in a patient with treated ruptured aneurysm: a case report Journal of Neurocritical Care subarachnoid hemorrhage intracranial aneurysm vasospasm endovascular procedures transcranial doppler ultrasonography |
| title | Role of transcranial color-coded Doppler in monitoring vasospasm and treatment outcome in a patient with treated ruptured aneurysm: a case report |
| title_full | Role of transcranial color-coded Doppler in monitoring vasospasm and treatment outcome in a patient with treated ruptured aneurysm: a case report |
| title_fullStr | Role of transcranial color-coded Doppler in monitoring vasospasm and treatment outcome in a patient with treated ruptured aneurysm: a case report |
| title_full_unstemmed | Role of transcranial color-coded Doppler in monitoring vasospasm and treatment outcome in a patient with treated ruptured aneurysm: a case report |
| title_short | Role of transcranial color-coded Doppler in monitoring vasospasm and treatment outcome in a patient with treated ruptured aneurysm: a case report |
| title_sort | role of transcranial color coded doppler in monitoring vasospasm and treatment outcome in a patient with treated ruptured aneurysm a case report |
| topic | subarachnoid hemorrhage intracranial aneurysm vasospasm endovascular procedures transcranial doppler ultrasonography |
| url | http://www.e-jnc.org/upload/pdf/jnc-240045.pdf |
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